Products Affected - Description
Chromic chloride injection, American Regent
4 mcg/mL 10 mL vial, 25 count (NDC 00517-6310-25)
Reason for the Shortage
American Regent has chromic chloride injection on shortage due to manufacturing delays.
Chromium (chromic chloride) injection, Hospira
4 mcg/mL 10 mL vial, 25 count (NDC 00409-4093-01)
Estimated Resupply Dates
- American Regent has chromium (chromic chloride) injection on back order and the company cannot estimate a release date.
- Hospira has been supplying the market for several months.
Alternative Agents & Management
The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) has detailed recommendations for managing this shortage online
Key recommendations include:
- There is no need to supplement chromium (chromic chloride) during a shortage except in patients showing signs of clinical deficiency (eg, glucose intolerance, hyperlipidemia, peripheral neuropathy, and encephalopathy).
- Consider oral or enteral multi-vitamin or multi-mineral products for supplementation if possible.
- Reserve supplies for neonatal or pediatric patients or other vulnerable groups such as patients with short bowel or malabsorption syndromes.
- Avoid using trace elements additives in IV fluids.
- Increase vigilance of signs and symptoms of trace element deficiencies.
- Purchase only the supply needed, do not stockpile.
October 7, 2014; September 29, 2014; July 8, 2014; April 25, 2014; February 10, 2014; December 27, 2013; December 13, 2013; November 25, 2013; November 1, 2013; October 15, 2013; September 26, 2013; September 19, 2013; August 29, 2013; August 16, 2013; June 24, 2013; May 30, 2013; May 3, 2013; April 1, 2013; February 22, 2013; January 23, 2013; December 31, 2012; December 10, 2012; October 19, 2012; August 7, 2012; May 24, 2012; April 11, 2012; March 5, 2012; January 3, 2012; November 21, 2011, University of Utah, Drug Information Service. Copyright 2014, Drug Information Service, University of Utah, Salt Lake City, UT.
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